# Multiple cardiac papillary fibroelastomas: a case report and review of the literature

## TL;DR

A 63-year-old man with multiple rare heart tumors underwent successful surgery to prevent stroke risks.

## Contribution

Reports a rare case of multiple cardiac papillary fibroelastomas on both heart sides with successful surgical treatment.

## Key findings

- Multiple cardiac papillary fibroelastomas were found on both mitral and tricuspid valves.
- Surgical resection was successful with no recurrence after six months.

## Abstract

Cardiac papillary fibroelastomas (PFEs) are the most common benign cardiac tumors and are typically solitary. PFEs affecting both sides of the heart are exceptionally rare, with only four cases reported in the literature. Herein, we report a case of a 63-year-old male presenting with signs and symptoms of embolic strokes and an embolism in the coronary arteries. An echocardiogram showed multiple masses on both the mitral and tricuspid valve leaflets. Because of the risk of embolism, he underwent successful valve-sparing surgical resection without complications. The follow-up echocardiogram at 6 months showed no recurrence and competence of both the mitral and tricuspid valves with minimal regurgitation.